Item M1016 identifies any change that has occurred to the patient’s treatment regimen or medications within 14 days prior to assessment. M1016 is used to identify new diagnoses or diagnoses that have exacerbated and is used to help the clinician develop an appropriate plan of care, since patients who have recent changes in treatment plans have a higher risk of complications.
N/A should be marked if changes in treatment regimen are do to the patients conditions improving.
Important points to remember about M1016:
- No surgical codes.
- Avoid symptoms codes when possible.
- No V-codes or E-codes.
- M1016 may include the same diagnosis as M1010 if the condition was treated during an in-patient stay and caused changes in the treatment regimen.
